NCC Exam Practice Questions with
Complete Solutions58
Which of the following is a gram negative rod? - ANSWERS-E. Coli
Which if the following could have a tentative identification of "cocci in chains"? - ANSWERS-
Streptococcus
Which antibiotic best treats Chlamydia? - ANSWERS-Erythromycin
Dark blue or magenta colored papules or nodules (blue berry muffin sign) sometimes seen with
congenital CMV are a result of what? - ANSWERS-Extramedullary dermal erythropoiesis
Fetal hemoglobin shifts the oxy-hemoglobin dissociated curve to the? - ANSWERS-Left
Alkalosis shifts the oxy-hemoglobin dissociation curve to the? - ANSWERS-Left
Which of the following is NOT a problem that can occur with chronic lasix therapy? - ANSWERS-
Metabolic acidosis
When performing a needle aspiration for a pneumothorax, the needle should be places where?
- ANSWERS-Above the rib
Which of the following is NOT a reason to use flucytosine in conjunction with amphotericin B? -
ANSWERS-The incidence of adverse effects is decreased
,A 33 week gestation infant displays the following characteristics at one minute of age:
HR 90
No respiratory effort
Some flexion of extremities
Weak reflex irritability
Blue and pale - ANSWERS-3
A 900 gram infant is receiving NS flushes of 1mL every 4 hours. How many meq/kg/day of Na+ is
the infant receiving from flushes? - ANSWERS-1 meq/kg/day
An IV of D12W is running at 6mL/hr. How many mg/kg/minute of glucose if a 1500 gram infant
receving? - ANSWERS-8 mg/kg/minutes
When doing an LP, what is the most appropriate interspace? - ANSWERS-L4-5
Low umbilical artery catheters should be places where? - ANSWERS-L3-4
Soft tissue on an overpenetrated CXR will look? - ANSWERS-dark
In utero blood going through the patent ductus arteriosus travels which direction? - ANSWERS-
right to left
A 27 week gestation infant presents with bounding pulses, tachypnea, increased O2
requirement, and a Grade II holosystolic murmur on day 2 of life. Blood shunting through the
PDA is most likely being shunted which direction? - ANSWERS-left to right
,A full term infant presents with cyanosis that does not respond to O2 in the delivery room and a
single S2 is also noted. Which of the following defects does the infant most likely have? -
ANSWERS-Pulmonary atresia
S1 is best heard where? - ANSWERS-apex
The CXR of an infant with hypoplastic left heart syndrome will most likely have? - ANSWERS-
increased pulmonary vascular markings
When does the fastest myelination occur? - ANSWERS-2nd trimester
Evidence suggests that maternal valproic acid may be related to? - ANSWERS-Fetal neural tube
defects
What % of infants with congenital CMV are asymptomatic at birth? - ANSWERS-90%
The best time to obtain a herpes culture in the neonate with suspected herpes is? - ANSWERS-
24-48 hours of age
Which of the following is most likely to present with congenital cataracts? - ANSWERS-Rubella
Periventricular calcifications are most often seen in the which of the following congenital
infections? - ANSWERS-CMV
Digestion of which of the following is LEAST dependent on bile salts? - ANSWERS-medium chain
triglycerides (MCT)
An infant has several nodules that are diagnosed as subcutaneous fat necrosis. Which of the
following should the infant be monitored for? - ANSWERS-Hypercalcemia
, Which is the correct I:T ratio of the following CBC:
WBC 3200
Segs 40%
Bands 21%
Lymphs 35%
metas 2%
Eos 2% - ANSWERS-0.36
What is the cause of pneumotosis in NEC? - ANSWERS-gas forming bacteria within submucosa
Testing the biceps reflex best tests? - ANSWERS-Phasic tone
Which of the following drugs may cause improvement in the infant with transient neonatal
myasthenia gravis? - ANSWERS-Neostigmine methylsulfate
The best definition of beneficence is: - ANSWERS-The moral obligation to "do good".
When evaluating for early digitalis toxicity on an EKG the most reliable sign is: - ANSWERS-
Prolongation of the PR interval
Which type of brachial plexus injury typically presents with the "waiter's tip position". -
ANSWERS-Erb's Palsy
A defect affecting the lower motor neuron will generally present with: - ANSWERS-Absent deep
tendon reflex
Complete Solutions58
Which of the following is a gram negative rod? - ANSWERS-E. Coli
Which if the following could have a tentative identification of "cocci in chains"? - ANSWERS-
Streptococcus
Which antibiotic best treats Chlamydia? - ANSWERS-Erythromycin
Dark blue or magenta colored papules or nodules (blue berry muffin sign) sometimes seen with
congenital CMV are a result of what? - ANSWERS-Extramedullary dermal erythropoiesis
Fetal hemoglobin shifts the oxy-hemoglobin dissociated curve to the? - ANSWERS-Left
Alkalosis shifts the oxy-hemoglobin dissociation curve to the? - ANSWERS-Left
Which of the following is NOT a problem that can occur with chronic lasix therapy? - ANSWERS-
Metabolic acidosis
When performing a needle aspiration for a pneumothorax, the needle should be places where?
- ANSWERS-Above the rib
Which of the following is NOT a reason to use flucytosine in conjunction with amphotericin B? -
ANSWERS-The incidence of adverse effects is decreased
,A 33 week gestation infant displays the following characteristics at one minute of age:
HR 90
No respiratory effort
Some flexion of extremities
Weak reflex irritability
Blue and pale - ANSWERS-3
A 900 gram infant is receiving NS flushes of 1mL every 4 hours. How many meq/kg/day of Na+ is
the infant receiving from flushes? - ANSWERS-1 meq/kg/day
An IV of D12W is running at 6mL/hr. How many mg/kg/minute of glucose if a 1500 gram infant
receving? - ANSWERS-8 mg/kg/minutes
When doing an LP, what is the most appropriate interspace? - ANSWERS-L4-5
Low umbilical artery catheters should be places where? - ANSWERS-L3-4
Soft tissue on an overpenetrated CXR will look? - ANSWERS-dark
In utero blood going through the patent ductus arteriosus travels which direction? - ANSWERS-
right to left
A 27 week gestation infant presents with bounding pulses, tachypnea, increased O2
requirement, and a Grade II holosystolic murmur on day 2 of life. Blood shunting through the
PDA is most likely being shunted which direction? - ANSWERS-left to right
,A full term infant presents with cyanosis that does not respond to O2 in the delivery room and a
single S2 is also noted. Which of the following defects does the infant most likely have? -
ANSWERS-Pulmonary atresia
S1 is best heard where? - ANSWERS-apex
The CXR of an infant with hypoplastic left heart syndrome will most likely have? - ANSWERS-
increased pulmonary vascular markings
When does the fastest myelination occur? - ANSWERS-2nd trimester
Evidence suggests that maternal valproic acid may be related to? - ANSWERS-Fetal neural tube
defects
What % of infants with congenital CMV are asymptomatic at birth? - ANSWERS-90%
The best time to obtain a herpes culture in the neonate with suspected herpes is? - ANSWERS-
24-48 hours of age
Which of the following is most likely to present with congenital cataracts? - ANSWERS-Rubella
Periventricular calcifications are most often seen in the which of the following congenital
infections? - ANSWERS-CMV
Digestion of which of the following is LEAST dependent on bile salts? - ANSWERS-medium chain
triglycerides (MCT)
An infant has several nodules that are diagnosed as subcutaneous fat necrosis. Which of the
following should the infant be monitored for? - ANSWERS-Hypercalcemia
, Which is the correct I:T ratio of the following CBC:
WBC 3200
Segs 40%
Bands 21%
Lymphs 35%
metas 2%
Eos 2% - ANSWERS-0.36
What is the cause of pneumotosis in NEC? - ANSWERS-gas forming bacteria within submucosa
Testing the biceps reflex best tests? - ANSWERS-Phasic tone
Which of the following drugs may cause improvement in the infant with transient neonatal
myasthenia gravis? - ANSWERS-Neostigmine methylsulfate
The best definition of beneficence is: - ANSWERS-The moral obligation to "do good".
When evaluating for early digitalis toxicity on an EKG the most reliable sign is: - ANSWERS-
Prolongation of the PR interval
Which type of brachial plexus injury typically presents with the "waiter's tip position". -
ANSWERS-Erb's Palsy
A defect affecting the lower motor neuron will generally present with: - ANSWERS-Absent deep
tendon reflex
